NPI | 1225446370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60577580) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S020653) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2016-03-02 |